| NPI | 1669189411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN ROGERS Owner 248-862-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TP0814X Psychologist Psychoanalysis | |
| 104100000X Social Worker | |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2024-05-30 |